| NPI | 1295110336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71005771A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28180875A) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2021-03-01 |